Phoenix Children'S Hospital
Pediatrics in Phoenix, AZ. Organization (NPI-2).
NPI number1295028587
StatusActive
Last updated in NPPESMay 22, 2023
Details
- NPI
- 1295028587
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Children'S Hospital
- Organization subpart
- Yes
- Enumeration date
- May 19, 2011
- Certification date
- May 22, 2023
- Last updated
- May 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | SH3107 | AZ | Yes |
Other names
- Phoenix Children'S Hospital Medical Crews Van (Doing Business As)
Practice location
3333 E Van Buren StPhoenix, AZ 85008-6812
Phone 602-933-0945 · Fax 602-933-4263
Mailing address
2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008
Authorized official
Raheel Farough
Svp, Managed Care & Payor Strategy
6029333548
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